Assessing the Health and Welfare of the HCBS Population

Table 13A: National Home and Community-Based Services Population

Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a

Select for:

Outcome Indicator No Medically Needy Program More Restrictive Eligibility Criteria Less Restrictive Eligibility Criteria Nursing Home Level of Care Eligibility Criteria for HCBS Percentage of State LTC Funds Spent on HCBS
High Mid Low >Median ≤Median
Short-Term Complications of Diabetes 376 319 222 534 271 215 251 344
Asthma or Chronic Obstructive Pulmonary Disease 5,029 4,037 3,180 4,196 3,954 3,070 3,401 4,560
Congestive Heart Failure 5,931 5,724 4,236 5,807 5,514 4,275 4,408 6,215
Composite: Potentially Preventable Infection 9,912 8,973 6,332 9,402 8,769 6,562 7,060 9,488
    Bacterial Pneumonia 6,141 5,349 4,001 5,448 5,307 4,181 4,457 5,636
    Urinary Tract Infection 3,771 3,624 2,331 3,953 3,462 2,381 2,602 3,851
Infection Due to Device or Implant 925 851 594 930 812 652 658 904
Dehydration 2,360 2,241 1,392 2,502 2,140 1,335 1,590 2,372
Composite: ACSC Chronic Conditions 14,225 12,865 9,986 13,648 12,385 9,652 10,489 14,025
Composite: ACSC Acute Conditions 9,217 8,136 5,763 8,316 8,103 5,945 6,476 8,625
Composite: ACSC Overall 23,439 21,000 15,748 21,963 20,486 15,596 16,965 22,647
Pressure Ulcer 4,010 3,925 2,853 4,175 3,854 2,547 2,961 4,271
Injurious Falls 396 318 235 265 370 246 243 380

Notes: 

ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.

a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and persons in the States of Arizona, Maine, Washington, and Wisconsin.

Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.

Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.

Median is defined as the value at which half of States are below and half of States are above.

Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

Sources for column heading data are described in the Appendix.

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Page last reviewed December 2012
Internet Citation: Table 13A: National Home and Community-Based Services Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab13.html